VA97406 (2708)    PLAN (366.03)

Name Value
ID VA97406
NAME KENTUCKY MEDICAID V51 TEST
NAME - SHORT KYMEDI
REGION ALL
DATE/TIME CREATED 2004-02-14 10:30:24
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610461
PROCESSOR CONTROL NUMBER (PCN) KMMSPROD
NCPDP PROCESSOR NAME KY MED
ENABLED? Yes
BILLING PAYER SHEET NAME KYB1V5
MAXIMUM NCPDP TRANSACTIONS 4
APPLICATION
  • E-PHARM
    NATIONAL ACTIVE?:   Active
    LOCAL ACTIVE?:   Not Active
    USER EDITED LOCAL:   INTERFACE,IB EIV
    DATE/TIME LOCAL EDITED:   2006-05-25 15:17:30
    DATE/TIME NATIONAL EDITED:   2004-02-14 17:58:44
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 17:58:44